FORM 1023-EZ for LAKE MONTICELLO COMMUNITY FOUNDATION

Field Data
EIN 84-5032758
Case Number EO-2020269-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE MONTICELLO COMMUNITY FOUNDATION
Organization’s Mailing Address 265 TURKEYSAG TRAIL SUITE 102 - 143
City PALMYRA
State VA
ZIP 22963
Accounting period End 2
Primary contact name NANCY PARSONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY PARSONS
PRESIDENT
4 DEEPWATER POINT
PALMYRA VA 22963

Officer/Director/Trustee Two

MIKE WARNER
TREASURER
2 SAND TRAP TERRACE
PALMYRA VA 22963

Officer/Director/Trustee Three

ANITA BOLES
VICE PRESIDENT
16 BAREFOOT LANE
PALMYRA VA 22963

Officer/Director/Trustee Four

MAUREEN SMITH
SECRETARY
6 SUNSET COURT
PALMYRA VA 22963

Officer/Director/Trustee Five

CARROL KINSEY
ATTORNEY
918 JEFFERSON DRIVE
PALMYRA VA 22963

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NANCY PARSONS
Signature Title PRESIDENT
Signature Date 9/23/2020

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